Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14989 | Date 10/02/2025 |
| Token No | SM/25-26/4511 04/08/2025 | Serial | 043 Last Visit: 09/10/2025 |
| Patient Name | Mr. SANTU DAS | Contact No | 9804030138 |
| Address | 293 (108/2) G T ROAD MANSATALA BAIDYABATI (M) | Age | 38 Years,10 Months,8 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 116/81 mmHg | Weight | 53.4 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 20.859375 |
| Diagnosis | |||